Form Lst-1 - Local Services Tax Employer Return - 2011

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PALMER TOWNSHIP LST
3 WELLER PLACE
EASTON PA 18045
2011 LOCAL SERViCES TAX EMPLOYER RETURN
LST 1
Quarter 1 Due
4
30
1 1
A
CCOUNT NO
f
J
lrr
t
f
r
X
f
ci
1
Number of
Employees
R
eportBd
enter
if
none
fuu
i
l
2
ta
an
un
of
ax w
hh0 d th
qu rter
i
1
i
f
t
00
NOT WRITE
8ELOW nm UNE
1 iHl PREeBINfE
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FoFi
M i j s i B Fik
Q
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l
P
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Y
N g
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ciYAfiTifg j
w
n
w
LST
1
2011 LOCAL SERVICES TAX EMPLOYER RETURN
Qualier 2 Due
8
1 11
Payable
to
PALMER TOWNSHIP LST
3 WELLER PLACE
E
STON PA 1 B045
610 252 0440
J
nt
cf
E 0rnptions
f
8G
r
ccour
r f JO
1
NumbilfOfEmpioyeesReporiOO
enler
fnone
i
l
2
lotal arnount of
la
wllhheld this
quarter
f
1
see
enclosed Instructions
O
d
5
mw
m
m mm
j
1
i
c
l1
00 NOT WRITE BELOW THIS LINE
1iii
W
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B
EJt Ffj
ANP WE
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j5
PB It
J
LST 1
2011 LOCAL SERViCES TAX EMPLOYER RETURN
Qualier
3
Due
10 31 11
Payable
to
Pf UVlEf
TOWNSHIP LST
3 WEU ER PLACE
EASTON PA
18045
610
25
0440
1 f
xe
l
iho
lS
j
Yl
J
1
Number of
Employees
Reportr
d mror
j if
none
Total
an 1ount
of
t i X
withheld this quarter
see
enclosed Inslructions
3
Net amount due
f
CCOUNT NO
4
Per
a
t y Hne 3
x
5
Interest line 3
x
1 2
per month
i
fotal
penalty
interest line 4
line 5
7
TOTAl AMOUNT DUE Iine
t l1il6
00 NOT WRITE 8ELOW nilS LINE
rtT
i
e
N
5g
7 a
T
5 E RJ
l l
iJ
BB
i l i J
LST 1
2011 LOCAL SERVICES TAX EMPLOYER RETURN
Quarter
4
Due
1 31
12
Payable
to
PALMEr
TOWNSHIP LST
3 WEl LER PLACE
EASTON PA
18045
610 25
0440
NumbfH of f
xerr
pticn
Encl
jse
L
l
1
Penalty line
3
x
5 Y
I
t
CC 1UNT
C
Number of
Employees
Reported
enter 0 if
none
2
Total amount of t
al
withheld this
quarter
s
e
enclosed instrucHons
3
f
Jet
aly our
i due
r
5
Interest line
3
1 2
per month
6
Tol31
penalty
Inleresllline
4
jine 5
7
TOTAL AMOUNT DUE
in
3
line 6
t
p
00 N01 WRITE BElOW THIS UNE
a
tI
i E
i
IB ltg
t g z r
f l
l
W
H
1

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